Chapter 19: Immunological disorders

Lecture Hypersensitivities Autoimmune diseases Immunodeficiencies- HIV

Lab Major unknown

Hypersensitivities

Type I: anaphylactic reactions

Figure 19.1a

Sensitization: B cell makes IgE to Ag; IgE binds to mast/basophil cells Secondary exposure: immediate reaction due to crosslinking of > 1 IgE by Ag on mast/basophil cell degranulation Reaction time: usually <30 minutes

Type II: cytotoxic reactions ABO blood group system

Table 19.2

IgG and IgM bind to cell activates complement and macrophage cell death Reaction time: 5-12 hours

Figure 19.4

Type II: cytotoxic reactions hemolytic disease of newborn

Type III: immune complex reactions

Figure 19.6

Immune reaction against soluble antigens Ratio of antibody to antigen (slight excess of antigen) binding occurs complex sticks into basement membrane of cells triggers inflammation via neutrophils Reaction time: 3-8 hours

Type IV: cell mediated reactions

Figure 19.7 - Overview (1 of 4)

Sensitization: Ag phagocytized and presented by macrophage stimulates T-cells Secondary exposure: memory T cells activate T cells/ macrophage which migrate to site and release cytokines Reaction time: 1-2 days (“delayed hypersensitivity reaction”)

Autoimmune diseases- cytotoxic reactions

Grave’s disease

Myasthenia gravis

drugline.org frumpo.us

Autoimmune diseases- immune complex reactions

Hardin Library for the Health Sciences, University of Iowa

Lupus Rheumatoid arthritis

rumatory-arthritis.com

Autoimmune diseases- cell mediated reactions

Hashimoto’s thyroiditis Multiple sclerosis

mayorshealthline.wordpress.com dr.marahimi.com

Immunodeficiencies- congenital

Severe Combined Immunodeficiency Disorder (SCID)

IgA immunodeficiency tommythedoc.weebly.com

Immunodeficiencies- acquired

tommythedoc.weebly.com

HIV

Helper T cell infection

HIV infection

Macrophage infection

HIV infection

Stages of HIV infection

Diseases associated with HIV infection

Table 19.5

Transplants- an induced disorder of the immune system

Transplant types with increasing risk of immune rejection

Autograft

Isograft

Allograft

Xenograft

Stem cells- a way around tissue transplant rejection?

Totipotent stem cells: first few cells produced after fusion of sperm and egg; capable of generating all tissue types Pluripotent stem cells: cells derived from totipotent cells; capable of generating multiple tissue types from the three germ layers Multipotent stem cells: cells capable of generating cells of related type (e.g. Hematopoietic stem cells can form blood and lymphatic tissue) Unipotent stem cells: cells can only form one cell type, but can regenerate

Stem cells

Stem cell sources

THE PRESENT Embryonic stem (ES) cells: pluripotent

Umbilical cord stem cells: multipotent and some pluripotent

Adult stem cells: rarely pluripotent, mostly unipotent

AND FUTURE - Induced pluripotent stem cells (iPSC): insertion of 4 genes into

fibroblast with retroviral vector (11/07)

- iPSCs from murine embryonic fibroblasts using recombinant cell-penetrating reprogramming proteins (4/09)

- iPSCs using fibroblasts and microRNA (4/11)

- iPSCs from exfoliated renal epithelial cells (11/12)

Independent study

1. Attendance is still counted at this point in the semester. You must attend all classes for Case Study material.

2. Print out Case Study Handout, Glossary, and first Case Study: Skin and Eye Diseases and bring to class on Thursday